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01.12.2023 | Original Article

Analysis of factors associated with undescended testis in patients with congenital diaphragmatic hernia

verfasst von: Satoshi Umeda, Masayuki Yoshida, Sayaka Matsumoto, Takaaki Sakai, Yuki Noguchi, Rei Matsuura, Masahiro Zenitani, Noriaki Usui

Erschienen in: Pediatric Surgery International | Ausgabe 1/2023

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Abstract

Purpose

This study aimed to investigate the incidence and clinical factors associated with undescended testes (UDT) in patients with congenital diaphragmatic hernia (CDH).

Methods

We retrospectively reviewed the incidence of UDT in male neonates admitted to our institution and underwent surgery for CDH between January 2006 and December 2022. Patients were divided into two groups based on the presence or absence of UDT, and risk factors for UDT were compared between the two groups.

Results

Among the 66 male neonates with CDH, 16 (24.2%) developed UDT. Patients with UDT had a significantly smaller gestational age (p = 0.026), lower birth weight (p = 0.042), and lower Apgar score at 1 min (p = 0.016) than those without UDT. They had a significantly higher incidence of large diaphragmatic defects (p = 0.005), received more patch closures (p = 0.020), had a longer mechanical ventilation period (p = 0.034), and longer hospital stay (p = 0.028). Multiple logistic regression analysis revealed that large diaphragmatic defect was an independent risk factor for UDT (adjusted odds ratio of 3.87).

Conclusion

CDH and UDT are strongly correlated. In patients with CDH, the incidence of UDT was related not only to patients’ prematurity but also to the large diaphragmatic defect. Large diaphragmatic defect is an independent risk factor for UDT in patients with CDH.

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Titel: Analysis of factors associated with undescended testis in patients with congenital diaphragmatic hernia
verfasst von: Satoshi Umeda
Masayuki Yoshida
Sayaka Matsumoto
Takaaki Sakai
Yuki Noguchi
Rei Matsuura
Masahiro Zenitani
Noriaki Usui
Publikationsdatum: 01.12.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2023
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05553-4

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Analysis of factors associated with undescended testis in patients with congenital diaphragmatic hernia